Thursday, August 28, 2014

Phobias and Addictions



  According to the Penguin Dictionary of Psychology "Classical Conditioning is an experimental procedure in which conditioned stimulus (CS) that is, at the outset, neutral with respect to the unconditioned response (UR) is paired with unconditioned stimulus (US) that reliably elicits the unconditioned response.  After a number of such pairings the CS will elicit, by itself, a conditioned response (CR) very much like UR" (Classical Conditioning, 2009).  Classical conditioning was developed by a Russian Physiologist Ivan Pavlov while he was studying the digestive system in dogs.   
While Studying the digestive systems in dogs, Pavlov leashed his dogs in a harness and placed food in their mouths, after which he measured the saliva flow through a tube inserted into their cheeks. After several repetitions, Pavlov observed that his dogs started to salivate before the food was placed in their mouths. They would salivate merely by seeing the assistant in charge of bringing the food or listening to his footsteps approaching the cage. Pavlov realized that the dogs had learned to anticipate the food and to associate the food with, for example, the sound of approaching footsteps. Pavlov called the saliva “the unconditioned response (UR) because it is a reflex naturally triggered by food, which he called the unconditioned stimulus (US). He then introduced a bell ring as a neutral stimulus and repeatedly rang the bell before presenting the food to the dogs. After several repetitions, the dogs were conditioned to salivate to the sound of the ring alone. The bell then became a conditioned stimulus (CS) and the salivation a conditioned response (CR). After this simple experiment, researchers started to condition different types of animals as well as humans to react to a variety of neutral stimuli. Classical conditioning often takes place without awareness” (Sullivan, 2009).  The Classical Conditioning theory was developed based of his observation suggesting that the salivation was a learned response.
Classical conditioning procedures can lead to certain phobias in individuals.  According to the Gale Encyclopedia of Medicine “a phobia is an intense but unrealistic fear that interferes with the ability to socialize, work or go about everyday life, brought on by and object, event or situation” (Turkingston, Frey,  & Davidson, 2011) .  A phobia is a fear that is so excessive that the amount of fear is not justified by the cause.  Phobias are developed through classical conditioning procedure when one person is presented with a stimulus that changes or confuses the original reflexive response to the original stimulus and create a sense of fear in their mind.
Many people will develop some type of phobia at some point in their life.  Some phobias may eventually go away and some people will just live with them until they begin to severely disrupt their life.  There are two very common phobias, acrophobia which is the fear of heights and claustrophobia the fear of cramped spaces.
Acrophobia seems to be at least to some extent deep-rooted as a developmental mechanism for some people.  However, most individuals use caution but are not extremely afraid of heights.  In my opinion Acrophobia is a learned response to an incident that may have happened to someone in the past like a child falling off a jungle gym in the playground.
In an epidemiological study conducted by Agras et al. (1969), 12.4% of those surveyed had a fear of heights—ranging from an intense fear at elevations to a phobia (disruption of everyday functioning because of fear and avoidance). Some can handle heights, although they are clearly distressed, whereas others experience such intense fear that height situations must be avoided altogether.  Imagine a person not being able to go to a physician if his office is on the 5th floor, not taking a job because the office is on the 10th floor, or not visiting friends who move into an apartment three stories up (Wiederhold & Wiederhold, 2005).
According to Mosby’s Dictionary of Medicine, “Claustrophobia is a morbid fear of being in or becoming trapped in enclosed or narrow places” (Mosby's Dictionary of Medicine, Nursing, & Health Professions, s.v, 2009).  Claustrophobia is one of the most common phobias that involve extreme fear from being in a cramped space which may result in a panic attack.  Claustrophobia can develop in childhood years after being trapped in a small space either from playing a game or being punished.  In adulthood claustrophobia can develop in the same manner of being trapped in a cramped space for a long period of time.  When individuals have these types of experiences they often experience a panic attack which conditions the brain to relate cramp spaces with being afraid and losing control.
Operant conditioning developed by an American psychologist B.F. Skinner focuses on strengthening or weakening voluntary behaviors by applying rewards or punishment after a behavior.  During this procedure a relationship is developed between the behavior and the consequences for that behavior.  There are four possible consequences to a behavior that cause operant conditioning.  Something good can start or be presented, something good can end or be taken away, something bad can start or be presented, something bad can end or be taken away.   This the type of learning that is related to addiction.  Individuals have a natural survival mechanism in place called the pleasure/pain response system which allows them to feel pleasure when doing something necessary for survival and pain when doing something that could lessen the chances of survival.  When a person uses a drug they are often putting themselves through the both the pleasure and the pain response modes of operant learning. When the drug is initially taken the user feels pleasure and this is embedded in the brain.  Then the user will experience the pain and sickness from withdrawing from the substance that will also be embedded in the brain.  The user will attempt to achieve the same pleasure again while trying to avoid the withdrawal symptoms.  This is the way addiction works.
The difference between classical and operant conditioning is the emphasis on whether the behavior is involuntary or voluntary.  Classical conditioning involves developing a relationship between and involuntary response and a stimulus, whereas operant conditioning is about developing a relationship between a voluntary behavior and a reward or consequence.  Operant conditioning requires the learner to actively participate and perform some type of action in order to be rewarded or punished whereas classical conditioning is a learned reflex.
When a conditioned response or behavior slowly decreases over time and eventually stop it becomes extinct.  Extinction occurs because the behavior is no longer reinforced.  Reinforcement of a response or behavior is the method that is either intentionally or unintentionally recognized by the subject to be the positive result of the stimuli or behavior.
For example, in Pavlov’s study where when the dog heard a bell every time and food was presented food it started to salivate just at the sound of the bell, which is classical conditioning. However, if food is not presented with the bell several times, then the dog's salivation will decrease and eventually stop at the sound of the bell. In this example, the food is the unconditioned stimulus, salivation is the unconditioned response, the bell is the neutral stimulus that becomes the conditioned stimulus and the ceasing of the dog to salivate because the food is no longer presented with the bell is extinction.
Extinction also occurs in operant conditioning when a behavior is no longer reinforced or the mode of reinforcement has become unwanted to the subject. For example, a child is showing improvements in school performance. The parent of the child rewards this behavior with a cookie at the end of each good day. The child continues to show improvements knowing that the cookie is waiting at the end of the day, but eventually the child gets tired of receiving a cookie every day and begins to slack in school. This is extinction related to operant conditioning. However, extinction does not mean that the subject goes back to the way they were before the conditioning started. After a few days of poor performance and no cookie, the child may start wanting the cookie again and begin to do very well in school. This is called spontaneous recovery.
  



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